What it approves
Alternate static source.
What the certificate says
From the PDF’s text layer, without the form’s printed wording. Layout and order may differ; the PDF is the record.
* FEDERAL AVIATION AGENCY FORM APPROVED, BUDGET BUREAU NO. 04-R015 INSTRUCTIONS — SUBMIT IN TRI PLICATE TO LOCAL FAA FLIGHT STANDARDS INSPECTOR.
SUPPLEMENTAL TYPE CcRTIFICAlt COPY WILL BE RETURNED TO APPLICANT UPON
ISSUANCE
1. NAME AND ADDRESS OF APPLICANT ^Iffflitf Oil HHJ QM OtMDMMV AvUUo* BipnftBiatf »ox~ $2i Attas&iflBl RmiF BvMtea Otejbrf MMtu ?. DESCRIPTION OF CHANGE laetallatloa of Alternate etatio mJ^A.^ .^ha^ttlk Ifct Oa^^mi^je^ dtefefe^fll VEMM^^IVMWm VMHe^Fw a^HPw enPl^^iK Jr^^(5 wUMW^Vm ^VilRp^HHI NOTB:
FAA approved Airplane flight Manual required.
2. SUPPLEMENTAL TYPE CERTIFICATE APPLIED FOR:
|H I AIRCRAFT I I ENGINE L J PROPELLER
ORIGINAL MODEL DESIGNATION Piper PA-83 NEW MODEL DESIGNATION (If dtiirtd) Mi* Hone rare* to aooordaBoe with Sinolair Oil * Qtt Co* wr ibt 110* Supplement dated 1/8/64 la
44. WILL DATA BE AVAILABLE FOR SALE OR RELEASE TO OTHER PERSONS? |jj YES I 1 NO
b. WILL PARTS BE MANUFACTURED FOR SALE (Ref. CAR 1.55)1 CH YES Qj NO
5. SIGNATURE AND TITLE OF APPLICANT
DATE OF APPLICATION ^<^^^^^^CoWw^^y ^W^^^^^
SIGNATURE Chiof NoahttU TITLE
6. To be Completed by FAA
NATURE AND LOCATION OF DATA Flight Engineering Record of Aircraft Alteration dated 1/8/64 and data Uated in item 3 above oa file at SW-210.
Befereoce Project A4343WS.
Applicable CAR' a aaae aa original certification.
ORIGINAL TYPE CERTIFICATE NO. FAl 1AIO «"=PLEMENTAL TYPE CERTIFICATE NO.
SA1U8U / h'.
DATE OF APPROVAL /* 1
• tm I/LJ. , < 1/1/04 /, k APPROVAL /*)/"!
' • * SIGNATURE » H. H. Slaughter Chief* Engineering and Manufacturing Branch TITLE * U.S. GOVERNMENT PRINTING OFFICE : 1959 O—509657 FORM FAA-2417 (5-59)
ADs that name this STC · 0
An AD can apply because an STC is installed, or mention one in its text.
Approved models · 1
| Make | Model | Data sheet |
|---|---|---|
| Piper Aircraft Inc. | PA-23 | 1A10 |